15-101856-- 1966ical
City of Federal Way
Community &Econ. E L
ev. Services FILE Permit #. •
1510185600
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: 253) 835-3050
Project Name: GRAY
Project Address. 1216 SW 331ST ST Parcel Number: 926495 0120
Project Description: ADD TO EXISTING LOW VOLTAGE SECURITY SYSTEM
Owner
l4R ifs
Contractor
JENNIFER GRAY
JENNIFER BURGESS
ADT LLC
PLEMONS BRAD GRAY
ADT LLC
ADTLLL*881D0 (3/20/16)
1216 SW 331ST ST
11824 NORTH CREEK PKWY SUITE 105
11824 NORTH CREEK PKWY SUITE 105
FEDERAL WAY WA
BOTHELL WA 98011
BOTHELL WA 98011
98023
Additional Permit Infonnation
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional9 ....................... No
Electrical Fixtures
Low Voltage - Burglar Alarm (Res 1
PERMIT EXPIRES Monday, October 12, 2015
Permit Issued on Wednesday, April 15, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: - i I K I C Date:
FINALED
crrr ot=+,��M�
Federal Way
PERMIT #:
Project:
Tir—i CARD IS TOOMAIN ON-SITE '
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -101856 -00 -EL Address: 1216 SW 331ST ST
JENNIFER GRAY FEDERAL WAY, WA 98023-5340
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD, Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
Final - Electrical (4055)
Approved
By Date
UFER Ground (4 95)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date